The Ministry of Tribal Affairs (MoTA), in collaboration with the Ministry of Health and Family Welfare (MoH&FW), had organised the National Tribal Health Conclave 2025, at Bharat Mandapam, New Delhi.
About National Tribal Health Conclave
- This Conclave is an initiative under the Dharti Aaba Janjatiya Gram Utkarsh Abhiyan.
- It is aimed at addressing the critical health and well-being challenges faced by India’s tribal communities.
- Objectives of the Conclave:
- Facilitate discussions to explore innovative healthcare delivery models for tribal regions.
- Identify priority areas for policy interventions and research.
- Develop culturally appropriate health strategies to enhance health-seeking behavior.
- Strengthen healthcare systems through capacity building, community engagement, and monitoring mechanisms.
- Create a comprehensive action plan to improve healthcare access and outcomes in tribal areas.
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Key Efforts and Initiatives in Tribal Healthcare
- National Sickle Cell Elimination Mission: It launched to target the eradication of sickle cell anemia by 2047.
- Bhagwan Birsa Munda Chair of Tribal Health and Haematology: Established at AIIMS Delhi, this chair serves as a multi-disciplinary platform for research and data collection on tribal health.
- Centres of Competence (CoC): 15 CoCs have been sanctioned in 14 states to enable advanced and prenatal diagnosis of sickle cell anemia, a prevalent genetic condition in tribal populations.
- Collaborative Approach: MoTA is working closely with MoH&FW, MoAYUSH, MoWCD, NHM, AIIMSs, CoCs, ICMR, UN agencies, NGOs, and state tribal welfare departments to ensure effective healthcare delivery.
Healthcare Challenges Faced by the Tribal Communities
- Geographical Barriers: Many tribal communities live in isolated, hard-to-reach areas, making access to healthcare services difficult.
- Almost 90 percent (89.97%) of the ST population lives in rural areas.
- Limited Health Centers: Few healthcare facilities are available in tribal areas, and existing ones often lack basic resources, medical staff, and equipment.
- Shortage of Healthcare Workers: There’s a significant shortage of trained medical professionals in rural and tribal regions.
- Cultural Differences: Tribal communities may have their own traditional health practices and beliefs, leading to reluctance in seeking modern medical care.
- Different tribal groups speak various languages and dialects, creating communication challenges with healthcare providers.
- Poverty: Many tribal populations live below the poverty line, making it difficult for them to afford healthcare services and medications.
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- Over 70% of STs lie in the lowest wealth quintiles, according to the National Family Health Survey-5 (2019-21).
- Over 45% of members of the STs were living below the poverty line in rural areas and over 25% lived in urban areas, according to the MoTA in its 2021-22 Annual Report.
- Malnutrition: Poor nutrition due to lack of access to food and education about health often contributes to higher rates of diseases.
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- Although malnutrition among tribal children has shown a declining trend, the prevalence of underweight is almost one and a half times more in tribal children than in the ‘other’ groups.
- Vulnerable to Specific Health Issues: Tribal communities are more susceptible to diseases like malaria, tuberculosis, and malnutrition, due to poor sanitation and living conditions.
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- STs account for nearly 50% of all malaria-related deaths in India, despite constituting about 8% of the total population.
Way Forward
- Development of Healthcare Infrastructure: Invest in building well-equipped hospitals, clinics, and primary healthcare centers in tribal regions and aspirational districts.
- Strengthening Human Resources in Healthcare: Hire healthcare professionals, including doctors and nurses in tribal areas.
- Promoting Health Education and Awareness: Organize health education campaigns focusing on preventive care, hygiene, and disease management in remote tribal areas.
- Expanding Outreach through Mobile Health Services and telemedicine: Deploy mobile healthcare units to provide essential services like screenings, immunizations, and treatments in remote areas.
- Incorporating Culturally Sensitive Healthcare Models: Respect and integrate traditional healing practices with modern medical systems.
- Encouraging Community Participation: Involve tribal leaders, representatives, and local organizations in planning and implementing healthcare programs.
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Dharti Aaba Janjatiya Gram Utkarsh Abhiyan
- It was launched in October 2024 with an aim at achieving full saturation of basic facilities in tribal-majority areas and aspirational districts.
- The scheme was initially named PM Janjatiya Unnat Gram Abhiyan (PM-JUGA).
Key Features of the Dharti Aaba Janjatiya Gram Utkarsh Abhiyan:
- It is a Centrally Sponsored Scheme
- Total Outlay: Rs. 79,156 crore allocated for implementation over five years.
- Goals: It includes 25 interventions to be implemented by 17 ministries, utilising funds from the Development Action Plan for Scheduled Tribes (DAPST) over the next five years to achieve its goals.
- The DAPST is India’s strategy for tribal development, where the Ministry of Tribal Affairs and other ministries dedicate a portion of their annual budgets to projects in education, health, agriculture, irrigation, roads, housing, electrification, employment, and skill development.
- Planned Interventions:
- Tourism Development: Up to Rs.5 lakh for tribal families to convert homes into homestays.
- Sustainable Agriculture: Training for rights-holders under the Forest Rights Act.
- Housing: Construction of 20 lakh pucca homes for Scheduled Tribe families.
- Infrastructure:
- 25,000 km of roads connecting Scheduled Tribe-majority villages.
- Piped water supply to every eligible village, focusing on 5,000 hamlets with less than 20 households.
- Electrification for around 2.35 lakh households and public institutions.
- Energy Access: Provision of 25 lakh LPG connections.
- Digital Connectivity: Broadband access for 5,000 tribal villages under the BharatNet project.
- Market Facilities: Establishment of 100 tribal multi-purpose marketing centres.
- Mapping and Monitoring: The tribal villages covered under the mission would be mapped on PM Gati Shakti Portal.
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